Staffing Shortages

Workforce shortages are beginning to impact patient care. Media reports indicate numerous instances of hospitals declaring “contingency standards of care,” or ordering ambulance diversions, due to staffing shortages. CMS needs to act before such practices become commonplace in dialysis facilities. Medicare’s proposed dialysis payment for 2024 would only increase reimbursements by 1.7%, despite labor costs that have risen by 9.7% over the past two years. Complicating matters further, calculation errors the past two annual cycles have left payments 4 percentage points below what they should be. DPC has asked Medicare to apply an Essential Worker Safety Catch, to look back on previous updates, and reconsider current forecasts, so updates are accurate and don’t fall behind actual changes in market wages.

Related Information

DPC Comment Letter to CMS Recounts Heartbreaking Story of Rural Dialysis Clinic Closure

August 28th, 2025|Categories: Comment Letter, Dialysis Funding, Improve Access to Care, Innovation, Policy Issues, Promote Financial Security, Protect Patient Care, Quality Incentive Program, Staffing Shortages, Treatment Options|

DPC has submitted its comments responding to this year’s Medicare ESRD Payment Rule. The Medicare agency is proposing a payment update of only 1.9%, which doesn’t keep pace with increasing costs. According to the [...]

DPC’s Letter to Dr. Mehmet Oz, Administrator at Centers for Medicare & Medicaid Services, on ESRD Prospective Payment System

August 27th, 2025|Categories: Comment Letter, Dialysis Funding, Improve Access to Care, Innovation, Policy Issues, Promote Financial Security, Protect Patient Care, Quality Incentive Program, Staffing Shortages, Treatment Options|

August 27, 2025 The Honorable Mehmet Oz Administrator Centers for Medicare & Medicaid Services 200 Independence Avenue, SW Washington, DC  20001 Re: CMS-1830-P - End-Stage Renal Disease Prospective Payment System  Dear Dr. Oz: Dialysis [...]

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Staffing Shortages

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